Robert Mushelovich Osipov, M.D

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

36357 Issued in AZ

Practice address

13555 W McDowell Rd Ste 210
Goodyear, AZ 85395-2628

Phone

(800) 991-6117

Fax

(888) 812-8191

NPI assigned

Apr 5, 2007

Last updated

Apr 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Uvc Medical PLLCGroup PAC ID 3375973647, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.osipov@uvvc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Uvc Medical PLLC

  dba United Vein & Vascular Centers

  • Vascular Surgery Physician
  • Phoenix, AZ
  • NPI 1548800980
  Medicare reassignment Care Compare group NPD
• General & Robotic Surgical Associates PLLC

  • Surgery Physician
  • Mesa, AZ
  • NPI 1619434081
  Medicare reassignment NPD
• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Medicare reassignment NPD
• Colorado Medical Group, PLLC

  dba United Vein & Vascular Centers

  • Vascular Surgery Physician
  • Fort Collins, CO
  • NPI 1356714638
  NPD
• Sarah Bush Lincoln Health Center

  dba Fayette County Hospital & Long Term Care

  • Skilled Nursing Facility
  • Vandalia, IL
  • NPI 1306959689
  NPD
• Sarah Bush Lincoln Health Center

  dba FCH Greenville Family Medicine Clinic

  • Rural Health Clinic/Center
  • Greenville, IL
  • NPI 1811858970
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1659493922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "813-961-1331",
            "fax_number": "888-812-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 210",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952628",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIPOV",
        "first_name": "ROBERT",
        "middle_name": "MUSHELOVICH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "36357",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "AZ",
            "license": "36357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "612518",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimal Health and Wellness Center PLLC
• Optimal Mens Center PLLC
• Orofacial Pain Center, PC (Goodyear General Dentistry)
• Leonel Ortiz, PTA
• Quentin Ortiz, CRNA
• Salah Osman
• Judith Osuagwu
• Oswald Homecare LLC
• Stefanie J Outram, FNP-C
• Kristen Owens

• Surgery Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.